Case report

Jejuno-jejunal invagination caused by epithelioid sarcoma: a case report

Ana Bento , Hamilton Baptista , Carlos Pinheiro and Fernando Martinho

Department of Surgery, Surgery II, University Hospital of Coimbra, Praceta Mota Pinto, 3000 Coimbra, Portugal

author email corresponding author email

Journal of Medical Case Reports 2009, 3:89doi:10.1186/1752-1947-3-89

Published:	30 October 2009

Abstract

Introduction

Jejuno-jejunal invagination is a rare condition and is usually caused by a benign lesion. We describe the case of a patient with a jejunal epithelioid sarcoma. Epithelioid sarcoma is a rare histologic subtype of sarcoma and few cases have been published.

Case presentation

A 70-year-old Caucasian man presented with vomiting and anemia. A jejuno-jejunal invagination was diagnosed and the patient underwent surgery. An epithelioid sarcoma of the wall of the jejunum was found on the invaginated ansa.

Conclusion

To the best of our knowledge, an epithelioid sarcoma has never been reported to arise at the wall of the proximal jejunum or to present with jejuno-jejunal invagination.